| NPI | 1487926135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: TX 13987060) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2024-03-12 |